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BAVOSIR

haemorrhoidBAVOSIR (Haemorrhoyo), gemorroy, ba tavri uqdashakl dar qismi maqad vase gashtani siyohragi rudai rost. B. beruni va daruni meshavad. Hangomi B.-i beruni siyohragi berunii rudai rost vase shuda, uqdahoi on berun mebaroyand. Dar mavridi B.-i daruni siyohragi daruni vase shuda, uqdahoi on bevosita dar daruni rudai rost joygir meshavand.
SHakh shudani khun dar siyohragi kosi khurd va rudai rost (qabziyati muzmin, duru daroz nishastan, omosi kos dar zanho, homilagi), inchunin sustii modarzodii devorai siyohrag boisi inkishofi B. megardad. B. tadrijan inkishof meyobad. Dar natijai B. avval ehsosi noforam, khorish va dardi maqad paydo shuda, in hissiyot badi nushidani araq, bazan pas az kori jismoni, afzuntar megardad. Minbad az uqdaho khun meravad (dar najosati bemor khun paydo meshavad). Hangomi rust shudani rohi khungard va gazak giriftani uqdaho dardi shadid va qabziyat paydo shuda, bemor tab mekunad. Agar B.-ro muolija nakunand, gazak ba nasji atrofi maqad meguzarad (nig. Paraproktit). B. ba tavri muzmin davom mekunad, ammo har sari chand vaqt avj megirad. Dar fosilai bayni khurujhoi bemori shakhs khudro solim his mekunad. Barobari avj giriftani bemori fosilai bayni khuruji on kutohtar shuda, khunravi meafzoyad. Dar mavridi furudi uqdahoi darunii B. bemor dardi sakhtro his mekunad; uqdaho varam karda, kabudtob yo siyohcha meshavand.
Hangomi suzishi maqad, ehsosi noguvori dar vaqti qazoi hojat, khunolud shudani najosat yo paydoishi uqdahoi B. ba dukhtur murojiat kardan lozim. Bemoroni giriftori B. boyad tahti nazorati jarroh boshand. Kushishi zer karda darovardani guddaho joiz nest, zero in amal metavonad boisi khunravii ziyod yo orizahoi digari jiddi gardad.
Bo maqsadi tashkhisi B. az usuli rektoromonoskopiya istifoda mekunand. Ilova bar in dukhtur boyad bemorro daqiq muoina namoyad, to ki bemorihoi paraproktit, polipho, saratoni rudai rost, kafidagii maqad va g. sarfi nazar karda shavand.
B.-ro jarroh muolija mekunad. Samarai tabobat az darajai inkishofi bemori, sarivaqt ba dukhtur murojiat kardan va ijroi maslihati u vobasta ast. Rioyai parhez, istemoli sabzavotu meva, khuddori az istemoli sharob, khuroki sakht va tundu tez ba jarayoni tabobat kumak merasonad.
Dar mavridi B.-i shadidi beruni obzani garm, marhami anestezini yo geparini naf dorad. Hangomi khunshorii rudai rost az shamakhoi adrenalini istifoda karda meshavad. Dar surati natijai dilkhoh nadodani chunin tarzi tabobat bemorro dar statsionar bistari karda, ba amaliyoti jarrohi dast mezanand.
Peshgiri: rafi qabziyat; kudakonro az khurdsoli ba rioyai qoidahoi gigienai shakhsi odat kunondan zarur ast. SHakhsone, ki ruzi daroz rost istoda yo nishasta kor mekunand, boyad dar davomi kor du marotiba bo varzish (gimnastika) mashgul shavand (bad az se soati sar shudani kor, bori duyum bad az du-dunim soat).
A.N. Qahhorov.

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